Signs and symptoms: 52 y/o Caucasian male presented to our clinic complaining of reoccurring growthes on bilateral forearms that would come and go for the past year. Lesions would begin as small pink papules that would grow over the course of a few weeks, then ulcerate and eventually self resolve

Previous Treatment: None

Other information: Of note, patient works as a HVAC (heating and air conditioning) repairman. When questioned about exposure to caustic materials at work, he did admit to exposure of his forearms to Freon while repairing larger units and frequently scratching his arms while reaching beneath the units.

PHYSICAL EXAM:

Left forearm- 4cm pink vegetative plaque with central ulceration and crusting on background of numerous excoriations

Right forearm- 1cm crusted ulceration on background of scattered excoriations and pink papules